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� � � � CHEC�i OFF LIST FOR ISSUA.i�'CE OF PER�.I�IITS <br /> , _ FOR OFFICE USE ONL.Y . � . <br /> ADDRESS OR LEGAL: I 2-Z o s PRv c� �c.4 c�:. - <br /> PID: <br /> DESCR�'I'ION OF�ORK: N C�c� R� 5 <br /> ZO�G REVIEti'V BY: � D�TE APPROV�D: I Z-� 5-oc� <br /> BUII..DI�i'G REY�SY BY: . DATE A P P R O Y ID: � z- � S—�-o 0 <br /> FEES TO BE CHARGED: biisc. Fees Calculated By: <br /> pEgN1IT Yes ✓ No �• <br /> pLArt REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATERCONNECTION <br /> IIv'VESTIGATION FEE Yes No PARK FEE <br /> SAC Yes � No x. SITEINSPECTTON <br /> Number of SAC-Units c2�.�o+r r-n�� �.ww OTHER (specify) <br /> ZO\�L,tG CH�CK LIST zoning Districr. . <br /> Fire Depar[ment: I'VL n�nt/� Post Office: W(^, e�N � School District: ,��1 e S �N'�- <br /> Lot Ar�a: Sq.ft. .21 Acres 9 35� Width SO' Depth ( �'7� � <br /> Surve; Sub�.itted: Yes_c� No Date of Survey: �-�'n� <br /> Propvsed Setbacks: , <br /> F�eet-(Lake): �3 Right Side: � I 1 :2 <br /> � , <br /> Rear(Street): � � Lefr Side: 1 1•2. <br /> Adjacent S[ructures: _ N / Yi� �Vetland: N /f4 • <br /> Building Height: Def. H?t. O�!�- Pea.k Hgt. 0 .�< <br /> Lot Coverag�: �� <br /> Gradin�: Stafi Approval Date: gy: _ Council Approval Date: �'�2`�`� <br /> Sepuc: Staff Approval Date: �r (A By: _ <br /> Zoning File: � z'-t�6b Resolution: : y�(73 Resolution Date: (o-�� " �� . <br /> Shoreland District: V�S <br /> Av�. Setback: �•�� Btufi Setback: � //�- LocCo�era�e: �� <br /> E���o Proposed <br /> Hardcover: 0 75' �'�� <br /> 75 250, `�b•9 <br /> �asao� <br /> 500-1000' <br /> Hazdcover Variaace Required: Yes � No Date of Council Aoproval: <br /> gEI�IAR�;.S (in house): <br /> 7 <br />